Disparities in initiation and adherence to prenatal care: impact of insurance, race-ethnicity and nativity.
We used the intersectionality framework to examine impact of racial/ethnic, immigration, and insurance differences on the timing of initiation of prenatal care (PNC) and subsequent adherence. In this cross sectional study independent variables were women's race/ethnicity; nativity; age; education; a...
| Publicado en: | Maternal & Child Health Journal Vol. 14; no. 4; pp. 618 - 625 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jul2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105045923&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105045923 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Jul2010 vid: 14 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105045923 2010704766 10.1007/s10995-009-0485-y NLM19557508 105045923 ppf: 618 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Disparities in initiation and adherence to prenatal care: impact of insurance, race-ethnicity and nativity. aug: au: Bengiamin MI Capitman JA Ruwe MB affil: Central Valley Health Policy Institute, Central California Center for Health and Human Services, College of Health and Human Services, California State University, Fresno, 1625 E. Shaw Ave., Suite 146 Fresno 93710-8106 USA sug: subj: Immigrants Insurance, Health Patient Compliance Prenatal Care Utilization Race Factors Adult Asians Birth Certificates Black Persons California Confidence Intervals Demography Descriptive Statistics Female Funding Source Hispanic Americans Human Logistic Regression Medically Uninsured Multivariate Analysis Odds Ratio Poverty Pregnancy Record Review White Persons Adult: 19-44 years Female ab: We used the intersectionality framework to examine impact of racial/ethnic, immigration, and insurance differences on the timing of initiation of prenatal care (PNC) and subsequent adherence. In this cross sectional study independent variables were women's race/ethnicity; nativity; age; education; and insurance. The dependent variables were late initiation and non-adherence to recommended number of PNC visits. We used multivariate analysis to evaluate the impact of the independent variables on late initiation and non-adherence. Analysis revealed that race/ethnicity/nativity (RE-N) was more consistently associated with late initiation and non-adherence for privately insured than publicly insured persons. While private insurance had a positive impact on initiation and adherence overall, its impact was greater for White women. Having private insurance coverage was most beneficial to White women. We contend that the intersectional approach provides promising avenues for expanding our knowledge of health disparities and of identifying new ways of going about eliminating the persistent and pervasive social inequalities and informing efforts to reduce them. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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